Doctor Name: | MRS. ASHELY DELOIS SELLERS |
NPI Number: | 1396978300 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SLP007125 |
Business Practice Address: | 514 Divine Dr Albany, GA - 317219547 |
Business Phone Number: | 2296380627 |
Business Fax Number: | 2294965277 |
Mailing Address: | 514 Divine Dr, ALBANY |
State: | GA |
Postal Code: | 317219547 |
Phone Number: | 2296380627 |
Fax Number: | 2294965277 |
NPI Enumeration Date: | 08/25/2009 |
NPI Last Update Date: | 04/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP007125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |